The moderating roles of personal and social resources on the relationship between dual expectations (for instrumentality and expressiveness) and well-being

The authors examined the roles of self-esteem and perceived social support in moderating the relationship between dual social expectations (instrumentality and expressivity) and well-being. Participants were 166 female and 87 male students in an urban community in the midwestern United States. After the authors controlled for the main effects of instrumental and expressive expectations, social support, as predicted, moderated the relationship between dual expectations and well-being: With higher levels of social support, higher levels of dual expectations were associated with higher levels of well-being; with lower levels of social support, higher levels of dual expectations were associated with lower levels of well-being. Contrary to predictions, however, self-esteem did not moderate the relation between dual expectations and well-being. The discussion focuses on the importance of social resources in enhancing the potential benefits of dual expectations in interpersonal contexts.     

Methods for analyzing psychotherapy outcomes: a review of clinical significance, reliable change, and recommendations for future directions

The purpose of this article is to provide a brief review of the history, development, and current status of the concepts of clinical significance (CS) and the reliable change index (RCI). I address issues regarding the development, criticisms, and applications of CS and RCI. I review the use of normative data, cutoff points, formula adjustments, and the comparative validity of various RCI methods. An examination of the convergence of multiple domains and multiple measures demonstrates ways to further develop the concepts of reliable change and CS. Finally, I make some recommendations and implications for future research and the development of assessment tools.     

Executive functioning and compliance in HIV patients

25 adult HIV patients were evaluated in a study of appointments, medication, and compliance with restrictions on sexual activity. The Executive Interview (EXIT) was useful in assessing these patients for cognitive difficulties; compliance with medication and countertransference issues were negatively correlated with EXIT scores.     

Anxiety Symptomatology in Mexican-American Adolescents

Mexican-American adults and adolescents in general have been reported to have high levels of anxiety symptomatology. In our study of a tri-ethnic sample of 2528 junior and senior high school students, the Youth Self Report (YSR) version of the Child Behavior Checklist (CBCL) and a sociodemographic questionnaire was used to assess the anxiety symptoms of Hispanic youth. We compared the ratings on anxiety symptoms, using Achenbach's anxiety subscale on the YSR, between two populations. The anxiety levels of youth in coastal southeast Texas (Galveston County) were compared to the anxiety levels of youth in the lower Rio Grande Valley. We found that Mexican-Americans of the Lower Rio Grande Valley scored higher on anxiety symptoms than the tri-ethnic population of Galveston County. Other factors associated with higher anxiety scores for Mexican-American youths included being born outside the US, linguistic fluency, father absent from the home, mother's education, and household size. Multiple regression analyses showed that socio-economic status (SES), family composition, and linguistic fluency had a greater relative impact on anxiety symptomatology than all other factors, both for the total sample as well as for the Mexican-American sample. These results parallel previous findings, with Mexican-American adults, which suggest either higher risk for anxiety symptomatology or a culturally related bias in the reporting of such symptoms.